| NPI | 1639296239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA LOPEZ Billing Specialist 719-799-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |